Provider Demographics
NPI:1386286359
Name:AMERICAN PHYSICAL THERAPY & MASSAGE
Entity type:Organization
Organization Name:AMERICAN PHYSICAL THERAPY & MASSAGE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PTA
Authorized Official - Prefix:
Authorized Official - First Name:NOEVETSY
Authorized Official - Middle Name:
Authorized Official - Last Name:ARIAS NARANJO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-804-2091
Mailing Address - Street 1:210 W 61ST ST
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33012-2639
Mailing Address - Country:US
Mailing Address - Phone:786-975-7974
Mailing Address - Fax:
Practice Address - Street 1:210 W 61ST ST
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33012-2639
Practice Address - Country:US
Practice Address - Phone:786-975-7974
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-11
Last Update Date:2020-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Multi-Specialty
No251E00000XAgenciesHome HealthGroup - Multi-Specialty